CPT 0488T: Intensive Group Diabetes Prevention Education, Online

CPT code 0488T describes a provider-delivered, intensive group curriculum of behavioral modification and lifestyle change education for diabetes prevention delivered online or via electronic technology at 30-day intervals; service type: group diabetes prevention education (intensive behavioral/lifestyle intervention); typical site of service: virtual/telehealth group setting.

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CPT 0488T: Intensive Group Diabetes Prevention Education, Online

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Get alerted when payer policies referencing 0488T are released or updated.

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Clinical & Coding Specifications

Clinical Context

A typical patient is an adult at high risk for type 2 diabetes identified during a primary care visit based on prediabetes laboratory results (elevated fasting glucose or A1c), obesity, metabolic syndrome, or strong family history. The patient is enrolled in an intensive, standardized diabetes prevention curriculum delivered online or via electronic technology with group education sessions scheduled at 30‑day intervals. The clinical workflow begins with referral by the primary care provider or endocrinologist, baseline assessment (weight, BMI, fasting glucose or A1c, blood pressure), consent for participation in the virtual program, and setup of the telehealth platform. A certified diabetes educator, registered dietitian, or trained lifestyle coach leads the monthly group sessions, provides structured behavior modification lessons (nutrition, physical activity, goal setting, self-monitoring), documents attendance and progress, and communicates outcomes to the referring clinician. Administrative tasks include scheduling, billing using 0488T, applying appropriate modifiers for special circumstances, and recording outcome measures (weight loss, activity logs, follow-up laboratory testing) in the electronic health record.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual; approximately 15 minutes	Individual brief preventive counseling that may precede enrollment in the group prevention program or be used for follow-up between group sessions.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Used when focused brief counseling for tobacco cessation is delivered as part of lifestyle modification components in the program.
`G0447`	Face-to-face behavioral counseling for obesity, 15 minutes	Individual or group obesity counseling that complements weight‑loss components of the diabetes prevention curriculum.
`99409`	Preventive medicine counseling and/or risk factor reduction intervention(s); 30 minutes	Longer individual counseling sessions that align with the intensity of behavior modification provided in the program.
`99078`	Physician or other qualified health care professional service(s) in a group setting, patient education; nonphysician provider, per session	Alternative group education billing sometimes used for nonphysician-led sessions or supplementary group classes associated with the program.

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
364SE1400X	Ethics Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
163WR0400X	Rehabilitation Registered Nurse	Nursing Service Providers · Registered Nurse
208600000X	Surgery Physician	A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of s…
364SC0200X	Critical Care Medicine Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
1223P0221X	Pediatric Dentistry	An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through ado…

CPT 0403T: Intensive Group Diabetes Prevention Education

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual; approximately 15 minutes	Individual brief preventive counseling that may precede enrollment in the group prevention program or be used for follow-up between group sessions.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate, greater than 3 minutes up to 10 minutes	Used when focused brief counseling for tobacco cessation is delivered as part of lifestyle modification components in the program.
`G0447`	Face-to-face behavioral counseling for obesity, 15 minutes	Individual or group obesity counseling that complements weight‑loss components of the diabetes prevention curriculum.
`99409`	Preventive medicine counseling and/or risk factor reduction intervention(s); 30 minutes	Longer individual counseling sessions that align with the intensity of behavior modification provided in the program.
`99078`	Physician or other qualified health care professional service(s) in a group setting, patient education; nonphysician provider, per session	Alternative group education billing sometimes used for nonphysician-led sessions or supplementary group classes associated with the program.

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
364SE1400X	Ethics Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
163WR0400X	Rehabilitation Registered Nurse	Nursing Service Providers · Registered Nurse
208600000X	Surgery Physician	A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of s…
364SC0200X	Critical Care Medicine Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
1223P0221X	Pediatric Dentistry	An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through ado…

CPT 0403T: Intensive Group Diabetes Prevention Education

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 0488T: Intensive Group Diabetes Prevention Education, Online

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CPT 0488T: Intensive Group Diabetes Prevention Education, Online

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

CPT 0488T: Intensive Group Diabetes Prevention Education, Online

Sign up for cpt 0488T policy alerts

CPT 0488T: Intensive Group Diabetes Prevention Education, Online

Sign up for cpt 0488T policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What service does CPT code 0488T represent?

Which modifiers are relevant when billing 0488T and when should they be applied?

What is the typical clinical context and workflow for patients receiving the 0488T service?

Are there related CPT codes I should consider alongside 0488T?

Which payers cover 0488T and does the page include reimbursement amounts?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What service does CPT code 0488T represent?

Which modifiers are relevant when billing 0488T and when should they be applied?

What is the typical clinical context and workflow for patients receiving the 0488T service?

Are there related CPT codes I should consider alongside 0488T?

Which payers cover 0488T and does the page include reimbursement amounts?

References